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General NPI Number Information
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NPI Number | 1780960856
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Entity Type | Organization
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Legal Business Name | STACY L. SIEGEL, MD, LLC
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Dates
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Enumeration Date | 11/02/2011
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Last Update Date | 02/15/2013
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Provider Practice Location Address
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Address Line | 2100A SOUTHBRIDGE PKWY SUITE 540
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City | BIRMINGHAM
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State | AL
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Zip | 35209-1370
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Country | US
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Telephone | 205-937-3979
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Fax | 205-871-4646
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Provider Business Mailing Address
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Address Line | 2100A SOUTHBRIDGE PKWY SUITE 540
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City | BIRMINGHAM
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State | AL
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Zip | 35209-1370
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Country | US
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Telephone | 205-937-3979
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Fax | 205-871-4646
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. STACY L SIEGEL
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Credential | MD
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Telephone | 205-937-3979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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